NPI | 1073128989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95015457) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 734773) |
Enumeration Date | 2020-09-09 |
Last Update Date | 2024-04-29 |